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段爱旭, 冯玉荣, 赵富玺, 刘斌焰. 性病/艾滋病危机干预三位一体化综合模式评价[J]. 中国公共卫生, 2013, 29(5): 763-766. DOI: 10.11847/zgggws2013-29-05-52
引用本文: 段爱旭, 冯玉荣, 赵富玺, 刘斌焰. 性病/艾滋病危机干预三位一体化综合模式评价[J]. 中国公共卫生, 2013, 29(5): 763-766. DOI: 10.11847/zgggws2013-29-05-52
DUAN Ai-xu, FENG Yu-rong, ZHAO Fu-xi.et al, . Evaluation on intergrated trinity model for STD/HIV crisis intervention[J]. Chinese Journal of Public Health, 2013, 29(5): 763-766. DOI: 10.11847/zgggws2013-29-05-52
Citation: DUAN Ai-xu, FENG Yu-rong, ZHAO Fu-xi.et al, . Evaluation on intergrated trinity model for STD/HIV crisis intervention[J]. Chinese Journal of Public Health, 2013, 29(5): 763-766. DOI: 10.11847/zgggws2013-29-05-52

性病/艾滋病危机干预三位一体化综合模式评价

Evaluation on intergrated trinity model for STD/HIV crisis intervention

  • 摘要: 目的 探索应用学校–疾病预防控制中心(CDC)-校医院三位一体化综合模式进行大学生性病/艾滋病(STD/AIDS)危机干预的有效性和可行性。方法 采用分层整群抽样方法,以班为单位抽取山西大同大学2~3年级文史、化工、艺术、外语、体育专业1 062名学生作为研究对象,将其随机分为综合干预组(539人)和对照组(523人),综合干预组实施学校-CDC-校医院三位一体的健康教育干预模式,对照组由课题组专家进行健康教育专题讲座,比较2组STD/AIDS相关知识,态度及行为(KAP)情况。结果 干预后,综合干预组STD/AIDS知识、态度和行为得分分别为(40.1±7.5)、(22.6±6.9)、(24.1±6.2)分,均高于干预前的(29.6±9.9)、(17.3±9.8)、(22.9±7.1)分,差异有统计学意义(P=0.00);干预后,综合干预组STD/AIDS基本知识、传播途径、预防知识、社会相关政策得分分别为(16.3±3.6)、(11.6±1.3)、(8.7±0.6)、(4.5±0.4)分,均高于对照组的(13.2±6.7)、(10.5±2.4)、(7.3±2.6)、(4.3±0.6)分,差异有统计学意义(P=0.00);综合干预组发生性行为时从来不用安全套、接触过消毒不严格的牙科器械或手术器械、与他人共用过牙刷、与他人共用过剃须刀、在理发店被剃刀刮伤过、与他人共用过未严格消毒的器械纹身/纹眉/穿耳行为的发生率分别由干预前的14.9%、5.3%、27.8%、42.3%、12.7%和7.2%下降到干预后的6.2%、2.1%、4.5%、11.2%、5.1%和1.9%,差异均有统计学意义(P<0.05)。结论 学校-CDC-校医院三位一体化综合干预模式对高校STD/AIDS危机干预有效且值得推广。

     

    Abstract: Objective To explore the effectiveness and feasibility of application of school-center for disease control(CDC)-school hospital integrated trinity model for intervention on sexually transmitted disease/acquired immune deficiency syndrome(STD/AIDS) among college students.Methods With stratified cluster sampling method,1 062 second or third year college students majoring in literature and history,chemical industry,art,foreign language,and physical education were selected from Shanxi Datong University,and randomly divided into a intervention group(539) and a control group(539).The intervention group was administered a comprehensive intervention under the trinity model involving school,CDC,and school hospital,and the control group was intervented with expert lectrues.Results After the interventiong,the scores of STD/AIDS knowledge,attitude and behaviors in the intervention group were 40.1?7.5,22.6?6.9,24.1?6.2,higher than the scores before the intervention(29.6?9.9,17.3?9.8,22.9?7.1) with significant differences(P<0.01 for all).After the intervention,the scores for basic knowledge of STD/AIDS,route of transmission,prevention knowledge,social policy were 16.3?3.6,11.6?1.3,8.7?0.6,4.5?0.4 among the intervention group,higher than those of the control group(13.2?6.7,10.5?2.4,7.3?2.6,4.3?0.6) with significant differences(P<0.01 for all).The risk behaviors,including never using condom in sexuall intercourse,exposure to dental or surgery apparatus without strict disinfection,sharing toothbrush or razor with others,scratched by razor in the barber shop,receiving tatto or cosmetology without strict disinfection pocedures,were significantly decreased from 14.9%,5.3%,27.8%,42.3%,12.7%,and 7.2% to 6.2%,2.1%,4.5%,11.2%,5.1%,and 1.9%,respectively,in the intervention groups(P<0.01 for all) Conclusion The school-CDC-school hospital integrated trinity intervention model for STD/AIDS crisis intervention is effective and worth of promotion.

     

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